MEDICARE: LARHODA FRANCINE CHAVIS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	32663	NC

General Provider Information

NPI Number	:	1437151784
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LARHODA FRANCINE CHAVIS MD

Provider Business Mailing Address
First Line	:	PO BOX 986
Second Line	:
City	:	OXFORD
State	:	NC
Zip	:	27565-0986
Country	:	US
Telephone Number	:	919-693-6541
Fax Number	:	919-693-7396

Provider Business Practice Location Address
First Line	:	110 PROFESSIONAL PARK DRIVE
Second Line	:
City	:	OXFORD
State	:	NC
Zip	:	27565
Country	:	US
Telephone Number	:	919-693-6541
Fax Number	:	919-693-7396

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	01/06/2020

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